EP2366408B1 - Aqueous clear solutions of fluocinolone acetonide for treatment of otic inflammation - Google Patents
Aqueous clear solutions of fluocinolone acetonide for treatment of otic inflammation Download PDFInfo
- Publication number
- EP2366408B1 EP2366408B1 EP10155005A EP10155005A EP2366408B1 EP 2366408 B1 EP2366408 B1 EP 2366408B1 EP 10155005 A EP10155005 A EP 10155005A EP 10155005 A EP10155005 A EP 10155005A EP 2366408 B1 EP2366408 B1 EP 2366408B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- sodium
- pharmaceutical composition
- pharmaceutically acceptable
- polyoxyethylene
- potassium
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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- FEBLZLNTKCEFIT-VSXGLTOVSA-N fluocinolone acetonide Chemical compound C1([C@@H](F)C2)=CC(=O)C=C[C@]1(C)[C@]1(F)[C@@H]2[C@@H]2C[C@H]3OC(C)(C)O[C@@]3(C(=O)CO)[C@@]2(C)C[C@@H]1O FEBLZLNTKCEFIT-VSXGLTOVSA-N 0.000 title claims description 34
- 229960001347 fluocinolone acetonide Drugs 0.000 title claims description 28
- 206010061218 Inflammation Diseases 0.000 title claims description 18
- 230000004054 inflammatory process Effects 0.000 title claims description 18
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 claims description 30
- 239000008194 pharmaceutical composition Substances 0.000 claims description 29
- 229920003171 Poly (ethylene oxide) Polymers 0.000 claims description 28
- -1 polyoxyethylene Polymers 0.000 claims description 28
- 235000002639 sodium chloride Nutrition 0.000 claims description 27
- 239000000203 mixture Substances 0.000 claims description 25
- 150000003839 salts Chemical class 0.000 claims description 24
- MYSWGUAQZAJSOK-UHFFFAOYSA-N ciprofloxacin Chemical compound C12=CC(N3CCNCC3)=C(F)C=C2C(=O)C(C(=O)O)=CN1C1CC1 MYSWGUAQZAJSOK-UHFFFAOYSA-N 0.000 claims description 23
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 claims description 21
- 206010033072 otitis externa Diseases 0.000 claims description 16
- 235000011187 glycerol Nutrition 0.000 claims description 15
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 15
- 239000003795 chemical substances by application Substances 0.000 claims description 14
- 229960003405 ciprofloxacin Drugs 0.000 claims description 14
- JVTAAEKCZFNVCJ-UHFFFAOYSA-N lactic acid Chemical compound CC(O)C(O)=O JVTAAEKCZFNVCJ-UHFFFAOYSA-N 0.000 claims description 14
- WHNWPMSKXPGLAX-UHFFFAOYSA-N N-Vinyl-2-pyrrolidone Chemical compound C=CN1CCCC1=O WHNWPMSKXPGLAX-UHFFFAOYSA-N 0.000 claims description 13
- 229920000036 polyvinylpyrrolidone Polymers 0.000 claims description 13
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 claims description 13
- 229940069328 povidone Drugs 0.000 claims description 13
- 208000035143 Bacterial infection Diseases 0.000 claims description 12
- 208000022362 bacterial infectious disease Diseases 0.000 claims description 12
- 239000007864 aqueous solution Substances 0.000 claims description 11
- 208000022760 infectious otitis media Diseases 0.000 claims description 11
- 235000010482 polyoxyethylene sorbitan monooleate Nutrition 0.000 claims description 11
- 229920000053 polysorbate 80 Polymers 0.000 claims description 11
- 239000000244 polyoxyethylene sorbitan monooleate Substances 0.000 claims description 10
- 229940068968 polysorbate 80 Drugs 0.000 claims description 10
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 claims description 9
- 206010033078 Otitis media Diseases 0.000 claims description 9
- KWYUFKZDYYNOTN-UHFFFAOYSA-M Potassium hydroxide Chemical compound [OH-].[K+] KWYUFKZDYYNOTN-UHFFFAOYSA-M 0.000 claims description 9
- 239000004359 castor oil Substances 0.000 claims description 9
- 235000019438 castor oil Nutrition 0.000 claims description 9
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 claims description 9
- ZEMPKEQAKRGZGQ-XOQCFJPHSA-N glycerol triricinoleate Natural products CCCCCC[C@@H](O)CC=CCCCCCCCC(=O)OC[C@@H](COC(=O)CCCCCCCC=CC[C@@H](O)CCCCCC)OC(=O)CCCCCCCC=CC[C@H](O)CCCCCC ZEMPKEQAKRGZGQ-XOQCFJPHSA-N 0.000 claims description 9
- LYCAIKOWRPUZTN-UHFFFAOYSA-N Ethylene glycol Chemical compound OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 claims description 8
- 239000004615 ingredient Substances 0.000 claims description 8
- 239000003002 pH adjusting agent Substances 0.000 claims description 8
- LWIHDJKSTIGBAC-UHFFFAOYSA-K tripotassium phosphate Chemical compound [K+].[K+].[K+].[O-]P([O-])([O-])=O LWIHDJKSTIGBAC-UHFFFAOYSA-K 0.000 claims description 8
- 239000004310 lactic acid Substances 0.000 claims description 7
- 235000014655 lactic acid Nutrition 0.000 claims description 7
- 239000002736 nonionic surfactant Substances 0.000 claims description 7
- 206010063491 Herpes zoster oticus Diseases 0.000 claims description 6
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 claims description 6
- 206010033081 Otitis media chronic Diseases 0.000 claims description 6
- NBIIXXVUZAFLBC-UHFFFAOYSA-N Phosphoric acid Chemical compound OP(O)(O)=O NBIIXXVUZAFLBC-UHFFFAOYSA-N 0.000 claims description 6
- DNIAPMSPPWPWGF-UHFFFAOYSA-N Propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 claims description 6
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 claims description 6
- 201000010354 chronic purulent otitis media Diseases 0.000 claims description 6
- 201000011349 geniculate herpes zoster Diseases 0.000 claims description 6
- GLDOVTGHNKAZLK-UHFFFAOYSA-N octadecan-1-ol Chemical compound CCCCCCCCCCCCCCCCCCO GLDOVTGHNKAZLK-UHFFFAOYSA-N 0.000 claims description 6
- 230000000699 topical effect Effects 0.000 claims description 6
- CYDQOEWLBCCFJZ-UHFFFAOYSA-N 4-(4-fluorophenyl)oxane-4-carboxylic acid Chemical compound C=1C=C(F)C=CC=1C1(C(=O)O)CCOCC1 CYDQOEWLBCCFJZ-UHFFFAOYSA-N 0.000 claims description 5
- KDYFGRWQOYBRFD-UHFFFAOYSA-N Succinic acid Natural products OC(=O)CCC(O)=O KDYFGRWQOYBRFD-UHFFFAOYSA-N 0.000 claims description 5
- 239000001768 carboxy methyl cellulose Substances 0.000 claims description 5
- 230000002265 prevention Effects 0.000 claims description 5
- 239000001540 sodium lactate Substances 0.000 claims description 5
- 235000011088 sodium lactate Nutrition 0.000 claims description 5
- 229940005581 sodium lactate Drugs 0.000 claims description 5
- VTYYLEPIZMXCLO-UHFFFAOYSA-L Calcium carbonate Chemical compound [Ca+2].[O-]C([O-])=O VTYYLEPIZMXCLO-UHFFFAOYSA-L 0.000 claims description 4
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- 208000033212 Myringitis bullous Diseases 0.000 claims description 4
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- 229920001213 Polysorbate 20 Polymers 0.000 claims description 4
- WCUXLLCKKVVCTQ-UHFFFAOYSA-M Potassium chloride Chemical compound [Cl-].[K+] WCUXLLCKKVVCTQ-UHFFFAOYSA-M 0.000 claims description 4
- CDBYLPFSWZWCQE-UHFFFAOYSA-L Sodium Carbonate Chemical compound [Na+].[Na+].[O-]C([O-])=O CDBYLPFSWZWCQE-UHFFFAOYSA-L 0.000 claims description 4
- PMZURENOXWZQFD-UHFFFAOYSA-L Sodium Sulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=O PMZURENOXWZQFD-UHFFFAOYSA-L 0.000 claims description 4
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical compound [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 claims description 4
- 206010061373 Sudden Hearing Loss Diseases 0.000 claims description 4
- 206010045210 Tympanic Membrane Perforation Diseases 0.000 claims description 4
- 239000003814 drug Substances 0.000 claims description 4
- WGCNASOHLSPBMP-UHFFFAOYSA-N hydroxyacetaldehyde Natural products OCC=O WGCNASOHLSPBMP-UHFFFAOYSA-N 0.000 claims description 4
- 210000001117 keloid Anatomy 0.000 claims description 4
- 201000004237 myringitis bullosa hemorrhagica Diseases 0.000 claims description 4
- 229940049964 oleate Drugs 0.000 claims description 4
- ZQPPMHVWECSIRJ-KTKRTIGZSA-N oleic acid Chemical compound CCCCCCCC\C=C/CCCCCCCC(O)=O ZQPPMHVWECSIRJ-KTKRTIGZSA-N 0.000 claims description 4
- 229920001223 polyethylene glycol Polymers 0.000 claims description 4
- 235000010486 polyoxyethylene sorbitan monolaurate Nutrition 0.000 claims description 4
- 229920002503 polyoxyethylene-polyoxypropylene Polymers 0.000 claims description 4
- SCVFZCLFOSHCOH-UHFFFAOYSA-M potassium acetate Chemical compound [K+].CC([O-])=O SCVFZCLFOSHCOH-UHFFFAOYSA-M 0.000 claims description 4
- 229910000160 potassium phosphate Inorganic materials 0.000 claims description 4
- 235000011009 potassium phosphates Nutrition 0.000 claims description 4
- 230000000472 traumatic effect Effects 0.000 claims description 4
- 208000025301 tympanitis Diseases 0.000 claims description 4
- FEWJPZIEWOKRBE-JCYAYHJZSA-N Dextrotartaric acid Chemical compound OC(=O)[C@H](O)[C@@H](O)C(O)=O FEWJPZIEWOKRBE-JCYAYHJZSA-N 0.000 claims description 3
- GRYLNZFGIOXLOG-UHFFFAOYSA-N Nitric acid Chemical compound O[N+]([O-])=O GRYLNZFGIOXLOG-UHFFFAOYSA-N 0.000 claims description 3
- 229920001219 Polysorbate 40 Polymers 0.000 claims description 3
- 229920001214 Polysorbate 60 Polymers 0.000 claims description 3
- 229920003080 Povidone K 25 Polymers 0.000 claims description 3
- 229920003081 Povidone K 30 Polymers 0.000 claims description 3
- OFOBLEOULBTSOW-UHFFFAOYSA-N Propanedioic acid Natural products OC(=O)CC(O)=O OFOBLEOULBTSOW-UHFFFAOYSA-N 0.000 claims description 3
- QAOWNCQODCNURD-UHFFFAOYSA-N Sulfuric acid Chemical compound OS(O)(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-N 0.000 claims description 3
- FEWJPZIEWOKRBE-UHFFFAOYSA-N Tartaric acid Natural products [H+].[H+].[O-]C(=O)C(O)C(O)C([O-])=O FEWJPZIEWOKRBE-UHFFFAOYSA-N 0.000 claims description 3
- GSEJCLTVZPLZKY-UHFFFAOYSA-N Triethanolamine Chemical compound OCCN(CCO)CCO GSEJCLTVZPLZKY-UHFFFAOYSA-N 0.000 claims description 3
- 235000011054 acetic acid Nutrition 0.000 claims description 3
- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical compound [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 claims description 3
- 229910000147 aluminium phosphate Inorganic materials 0.000 claims description 3
- 229920001400 block copolymer Polymers 0.000 claims description 3
- KGBXLFKZBHKPEV-UHFFFAOYSA-N boric acid Chemical compound OB(O)O KGBXLFKZBHKPEV-UHFFFAOYSA-N 0.000 claims description 3
- 239000004327 boric acid Substances 0.000 claims description 3
- 235000010338 boric acid Nutrition 0.000 claims description 3
- 235000015165 citric acid Nutrition 0.000 claims description 3
- LVTYICIALWPMFW-UHFFFAOYSA-N diisopropanolamine Chemical compound CC(O)CNCC(C)O LVTYICIALWPMFW-UHFFFAOYSA-N 0.000 claims description 3
- 229940043276 diisopropanolamine Drugs 0.000 claims description 3
- VZCYOOQTPOCHFL-UPHRSURJSA-N maleic acid Chemical compound OC(=O)\C=C/C(O)=O VZCYOOQTPOCHFL-UPHRSURJSA-N 0.000 claims description 3
- 239000011976 maleic acid Substances 0.000 claims description 3
- 229910017604 nitric acid Inorganic materials 0.000 claims description 3
- 239000000256 polyoxyethylene sorbitan monolaurate Substances 0.000 claims description 3
- 229940068977 polysorbate 20 Drugs 0.000 claims description 3
- 235000019812 sodium carboxymethyl cellulose Nutrition 0.000 claims description 3
- 229920001027 sodium carboxymethylcellulose Polymers 0.000 claims description 3
- 239000011780 sodium chloride Substances 0.000 claims description 3
- 239000001117 sulphuric acid Substances 0.000 claims description 3
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- 235000002906 tartaric acid Nutrition 0.000 claims description 3
- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 claims description 3
- LNAZSHAWQACDHT-XIYTZBAFSA-N (2r,3r,4s,5r,6s)-4,5-dimethoxy-2-(methoxymethyl)-3-[(2s,3r,4s,5r,6r)-3,4,5-trimethoxy-6-(methoxymethyl)oxan-2-yl]oxy-6-[(2r,3r,4s,5r,6r)-4,5,6-trimethoxy-2-(methoxymethyl)oxan-3-yl]oxyoxane Chemical compound CO[C@@H]1[C@@H](OC)[C@H](OC)[C@@H](COC)O[C@H]1O[C@H]1[C@H](OC)[C@@H](OC)[C@H](O[C@H]2[C@@H]([C@@H](OC)[C@H](OC)O[C@@H]2COC)OC)O[C@@H]1COC LNAZSHAWQACDHT-XIYTZBAFSA-N 0.000 claims description 2
- ALSTYHKOOCGGFT-KTKRTIGZSA-N (9Z)-octadecen-1-ol Chemical compound CCCCCCCC\C=C/CCCCCCCCO ALSTYHKOOCGGFT-KTKRTIGZSA-N 0.000 claims description 2
- IXPNQXFRVYWDDI-UHFFFAOYSA-N 1-methyl-2,4-dioxo-1,3-diazinane-5-carboximidamide Chemical compound CN1CC(C(N)=N)C(=O)NC1=O IXPNQXFRVYWDDI-UHFFFAOYSA-N 0.000 claims description 2
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- ZZSNKZQZMQGXPY-UHFFFAOYSA-N Ethyl cellulose Chemical compound CCOCC1OC(OC)C(OCC)C(OCC)C1OC1C(O)C(O)C(OC)C(CO)O1 ZZSNKZQZMQGXPY-UHFFFAOYSA-N 0.000 claims description 2
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- HDSBZMRLPLPFLQ-UHFFFAOYSA-N Propylene glycol alginate Chemical compound OC1C(O)C(OC)OC(C(O)=O)C1OC1C(O)C(O)C(C)C(C(=O)OCC(C)O)O1 HDSBZMRLPLPFLQ-UHFFFAOYSA-N 0.000 claims description 2
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- SHPKCSFVQGSAJU-UAIGNFCESA-L dipotassium;(z)-but-2-enedioate Chemical compound [K+].[K+].[O-]C(=O)\C=C/C([O-])=O SHPKCSFVQGSAJU-UAIGNFCESA-L 0.000 claims description 2
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- WAHQBNXSPALNEA-UHFFFAOYSA-L lithium succinate Chemical compound [Li+].[Li+].[O-]C(=O)CCC([O-])=O WAHQBNXSPALNEA-UHFFFAOYSA-L 0.000 claims description 2
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- 239000000594 mannitol Substances 0.000 claims description 2
- 235000010355 mannitol Nutrition 0.000 claims description 2
- HEBKCHPVOIAQTA-UHFFFAOYSA-N meso ribitol Natural products OCC(O)C(O)C(O)CO HEBKCHPVOIAQTA-UHFFFAOYSA-N 0.000 claims description 2
- 229920000609 methyl cellulose Polymers 0.000 claims description 2
- 239000001923 methylcellulose Substances 0.000 claims description 2
- 235000010981 methylcellulose Nutrition 0.000 claims description 2
- 229910000403 monosodium phosphate Inorganic materials 0.000 claims description 2
- 235000019799 monosodium phosphate Nutrition 0.000 claims description 2
- GOQYKNQRPGWPLP-UHFFFAOYSA-N n-heptadecyl alcohol Natural products CCCCCCCCCCCCCCCCCO GOQYKNQRPGWPLP-UHFFFAOYSA-N 0.000 claims description 2
- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 claims description 2
- 229940055577 oleyl alcohol Drugs 0.000 claims description 2
- XMLQWXUVTXCDDL-UHFFFAOYSA-N oleyl alcohol Natural products CCCCCCC=CCCCCCCCCCCO XMLQWXUVTXCDDL-UHFFFAOYSA-N 0.000 claims description 2
- 235000010483 polyoxyethylene sorbitan monopalmitate Nutrition 0.000 claims description 2
- 239000000249 polyoxyethylene sorbitan monopalmitate Substances 0.000 claims description 2
- 235000010989 polyoxyethylene sorbitan monostearate Nutrition 0.000 claims description 2
- 239000001818 polyoxyethylene sorbitan monostearate Substances 0.000 claims description 2
- 229940101027 polysorbate 40 Drugs 0.000 claims description 2
- 229940113124 polysorbate 60 Drugs 0.000 claims description 2
- 229920002451 polyvinyl alcohol Polymers 0.000 claims description 2
- 229940068984 polyvinyl alcohol Drugs 0.000 claims description 2
- 235000019422 polyvinyl alcohol Nutrition 0.000 claims description 2
- AVTYONGGKAJVTE-OLXYHTOASA-L potassium L-tartrate Chemical compound [K+].[K+].[O-]C(=O)[C@H](O)[C@@H](O)C([O-])=O AVTYONGGKAJVTE-OLXYHTOASA-L 0.000 claims description 2
- 235000011056 potassium acetate Nutrition 0.000 claims description 2
- 235000010408 potassium alginate Nutrition 0.000 claims description 2
- 239000000737 potassium alginate Substances 0.000 claims description 2
- MZYRDLHIWXQJCQ-YZOKENDUSA-L potassium alginate Chemical compound [K+].[K+].O1[C@@H](C([O-])=O)[C@@H](OC)[C@H](O)[C@H](O)[C@@H]1O[C@@H]1[C@@H](C([O-])=O)O[C@@H](O)[C@@H](O)[C@H]1O MZYRDLHIWXQJCQ-YZOKENDUSA-L 0.000 claims description 2
- 239000001103 potassium chloride Substances 0.000 claims description 2
- 235000011164 potassium chloride Nutrition 0.000 claims description 2
- 239000001508 potassium citrate Substances 0.000 claims description 2
- 229960002635 potassium citrate Drugs 0.000 claims description 2
- QEEAPRPFLLJWCF-UHFFFAOYSA-K potassium citrate (anhydrous) Chemical compound [K+].[K+].[K+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O QEEAPRPFLLJWCF-UHFFFAOYSA-K 0.000 claims description 2
- 235000011082 potassium citrates Nutrition 0.000 claims description 2
- PHZLMBHDXVLRIX-UHFFFAOYSA-M potassium lactate Chemical compound [K+].CC(O)C([O-])=O PHZLMBHDXVLRIX-UHFFFAOYSA-M 0.000 claims description 2
- 235000011085 potassium lactate Nutrition 0.000 claims description 2
- 239000001521 potassium lactate Substances 0.000 claims description 2
- 229960001304 potassium lactate Drugs 0.000 claims description 2
- OTYBMLCTZGSZBG-UHFFFAOYSA-L potassium sulfate Chemical compound [K+].[K+].[O-]S([O-])(=O)=O OTYBMLCTZGSZBG-UHFFFAOYSA-L 0.000 claims description 2
- 229910052939 potassium sulfate Inorganic materials 0.000 claims description 2
- 239000001120 potassium sulphate Substances 0.000 claims description 2
- 235000011151 potassium sulphates Nutrition 0.000 claims description 2
- 239000001472 potassium tartrate Substances 0.000 claims description 2
- 229940111695 potassium tartrate Drugs 0.000 claims description 2
- 235000011005 potassium tartrates Nutrition 0.000 claims description 2
- 235000010409 propane-1,2-diol alginate Nutrition 0.000 claims description 2
- 239000000770 propane-1,2-diol alginate Substances 0.000 claims description 2
- HELHAJAZNSDZJO-OLXYHTOASA-L sodium L-tartrate Chemical compound [Na+].[Na+].[O-]C(=O)[C@H](O)[C@@H](O)C([O-])=O HELHAJAZNSDZJO-OLXYHTOASA-L 0.000 claims description 2
- 239000001632 sodium acetate Substances 0.000 claims description 2
- 235000017281 sodium acetate Nutrition 0.000 claims description 2
- 235000010413 sodium alginate Nutrition 0.000 claims description 2
- 239000000661 sodium alginate Substances 0.000 claims description 2
- 229940005550 sodium alginate Drugs 0.000 claims description 2
- 235000017557 sodium bicarbonate Nutrition 0.000 claims description 2
- 229910000030 sodium bicarbonate Inorganic materials 0.000 claims description 2
- 229910000029 sodium carbonate Inorganic materials 0.000 claims description 2
- 235000017550 sodium carbonate Nutrition 0.000 claims description 2
- 239000001509 sodium citrate Substances 0.000 claims description 2
- NLJMYIDDQXHKNR-UHFFFAOYSA-K sodium citrate Chemical compound O.O.[Na+].[Na+].[Na+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O NLJMYIDDQXHKNR-UHFFFAOYSA-K 0.000 claims description 2
- 229960001790 sodium citrate Drugs 0.000 claims description 2
- 235000011083 sodium citrates Nutrition 0.000 claims description 2
- AJPJDKMHJJGVTQ-UHFFFAOYSA-M sodium dihydrogen phosphate Chemical compound [Na+].OP(O)([O-])=O AJPJDKMHJJGVTQ-UHFFFAOYSA-M 0.000 claims description 2
- 229940010747 sodium hyaluronate Drugs 0.000 claims description 2
- 239000001488 sodium phosphate Substances 0.000 claims description 2
- 229910000162 sodium phosphate Inorganic materials 0.000 claims description 2
- 235000011008 sodium phosphates Nutrition 0.000 claims description 2
- 229940074404 sodium succinate Drugs 0.000 claims description 2
- ZDQYSKICYIVCPN-UHFFFAOYSA-L sodium succinate (anhydrous) Chemical compound [Na+].[Na+].[O-]C(=O)CCC([O-])=O ZDQYSKICYIVCPN-UHFFFAOYSA-L 0.000 claims description 2
- 229910052938 sodium sulfate Inorganic materials 0.000 claims description 2
- 235000011152 sodium sulphate Nutrition 0.000 claims description 2
- 239000001433 sodium tartrate Substances 0.000 claims description 2
- 229960002167 sodium tartrate Drugs 0.000 claims description 2
- 235000011004 sodium tartrates Nutrition 0.000 claims description 2
- 235000010339 sodium tetraborate Nutrition 0.000 claims description 2
- YWIVKILSMZOHHF-QJZPQSOGSA-N sodium;(2s,3s,4s,5r,6r)-6-[(2s,3r,4r,5s,6r)-3-acetamido-2-[(2s,3s,4r,5r,6r)-6-[(2r,3r,4r,5s,6r)-3-acetamido-2,5-dihydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-2-carboxy-4,5-dihydroxyoxan-3-yl]oxy-5-hydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-3,4,5-trihydroxyoxane-2- Chemical compound [Na+].CC(=O)N[C@H]1[C@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O[C@H]1[C@H](O)[C@@H](O)[C@H](O[C@H]2[C@@H]([C@@H](O[C@H]3[C@@H]([C@@H](O)[C@H](O)[C@H](O3)C(O)=O)O)[C@H](O)[C@@H](CO)O2)NC(C)=O)[C@@H](C(O)=O)O1 YWIVKILSMZOHHF-QJZPQSOGSA-N 0.000 claims description 2
- 239000000600 sorbitol Substances 0.000 claims description 2
- 235000010356 sorbitol Nutrition 0.000 claims description 2
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 claims description 2
- 235000013337 tricalcium citrate Nutrition 0.000 claims description 2
- TWQULNDIKKJZPH-UHFFFAOYSA-K trilithium;phosphate Chemical compound [Li+].[Li+].[Li+].[O-]P([O-])([O-])=O TWQULNDIKKJZPH-UHFFFAOYSA-K 0.000 claims description 2
- BSVBQGMMJUBVOD-UHFFFAOYSA-N trisodium borate Chemical compound [Na+].[Na+].[Na+].[O-]B([O-])[O-] BSVBQGMMJUBVOD-UHFFFAOYSA-N 0.000 claims description 2
- RYFMWSXOAZQYPI-UHFFFAOYSA-K trisodium phosphate Chemical compound [Na+].[Na+].[Na+].[O-]P([O-])([O-])=O RYFMWSXOAZQYPI-UHFFFAOYSA-K 0.000 claims description 2
- 235000010493 xanthan gum Nutrition 0.000 claims description 2
- 239000000230 xanthan gum Substances 0.000 claims description 2
- 229920001285 xanthan gum Polymers 0.000 claims description 2
- 229940082509 xanthan gum Drugs 0.000 claims description 2
- 239000000811 xylitol Substances 0.000 claims description 2
- 235000010447 xylitol Nutrition 0.000 claims description 2
- HEBKCHPVOIAQTA-SCDXWVJYSA-N xylitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)CO HEBKCHPVOIAQTA-SCDXWVJYSA-N 0.000 claims description 2
- 229960002675 xylitol Drugs 0.000 claims description 2
- UHVMMEOXYDMDKI-JKYCWFKZSA-L zinc;1-(5-cyanopyridin-2-yl)-3-[(1s,2s)-2-(6-fluoro-2-hydroxy-3-propanoylphenyl)cyclopropyl]urea;diacetate Chemical compound [Zn+2].CC([O-])=O.CC([O-])=O.CCC(=O)C1=CC=C(F)C([C@H]2[C@H](C2)NC(=O)NC=2N=CC(=CC=2)C#N)=C1O UHVMMEOXYDMDKI-JKYCWFKZSA-L 0.000 claims description 2
- 229960000583 acetic acid Drugs 0.000 claims 1
- KDYFGRWQOYBRFD-NUQCWPJISA-N butanedioic acid Chemical compound O[14C](=O)CC[14C](O)=O KDYFGRWQOYBRFD-NUQCWPJISA-N 0.000 claims 1
- 229960004106 citric acid Drugs 0.000 claims 1
- 229960000448 lactic acid Drugs 0.000 claims 1
- 229960004109 potassium acetate Drugs 0.000 claims 1
- 229960004249 sodium acetate Drugs 0.000 claims 1
- 229960001367 tartaric acid Drugs 0.000 claims 1
- 238000001914 filtration Methods 0.000 description 12
- 239000000725 suspension Substances 0.000 description 10
- 239000002245 particle Substances 0.000 description 9
- 239000004480 active ingredient Substances 0.000 description 7
- 229940043075 fluocinolone Drugs 0.000 description 6
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- JNYAEWCLZODPBN-JGWLITMVSA-N (2r,3r,4s)-2-[(1r)-1,2-dihydroxyethyl]oxolane-3,4-diol Chemical compound OC[C@@H](O)[C@H]1OC[C@H](O)[C@H]1O JNYAEWCLZODPBN-JGWLITMVSA-N 0.000 description 2
- 206010017553 Furuncle Diseases 0.000 description 2
- 208000032831 Ramsay Hunt syndrome Diseases 0.000 description 2
- XSQUKJJJFZCRTK-UHFFFAOYSA-N Urea Chemical compound NC(N)=O XSQUKJJJFZCRTK-UHFFFAOYSA-N 0.000 description 2
- 239000008186 active pharmaceutical agent Substances 0.000 description 2
- 230000002411 adverse Effects 0.000 description 2
- 229940121363 anti-inflammatory agent Drugs 0.000 description 2
- 239000002260 anti-inflammatory agent Substances 0.000 description 2
- 230000003110 anti-inflammatory effect Effects 0.000 description 2
- BVKZGUZCCUSVTD-UHFFFAOYSA-N carbonic acid Chemical compound OC(O)=O BVKZGUZCCUSVTD-UHFFFAOYSA-N 0.000 description 2
- 208000035475 disorder Diseases 0.000 description 2
- 238000002296 dynamic light scattering Methods 0.000 description 2
- JYGXADMDTFJGBT-VWUMJDOOSA-N hydrocortisone Chemical compound O=C1CC[C@]2(C)[C@H]3[C@@H](O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 JYGXADMDTFJGBT-VWUMJDOOSA-N 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- LXCFILQKKLGQFO-UHFFFAOYSA-N methylparaben Chemical compound COC(=O)C1=CC=C(O)C=C1 LXCFILQKKLGQFO-UHFFFAOYSA-N 0.000 description 2
- QELSKZZBTMNZEB-UHFFFAOYSA-N propylparaben Chemical compound CCCOC(=O)C1=CC=C(O)C=C1 QELSKZZBTMNZEB-UHFFFAOYSA-N 0.000 description 2
- 239000001384 succinic acid Substances 0.000 description 2
- 239000004094 surface-active agent Substances 0.000 description 2
- 238000011200 topical administration Methods 0.000 description 2
- FJKROLUGYXJWQN-UHFFFAOYSA-N 4-hydroxybenzoic acid Chemical class OC(=O)C1=CC=C(O)C=C1 FJKROLUGYXJWQN-UHFFFAOYSA-N 0.000 description 1
- QWOJMRHUQHTCJG-UHFFFAOYSA-N CC([CH2-])=O Chemical compound CC([CH2-])=O QWOJMRHUQHTCJG-UHFFFAOYSA-N 0.000 description 1
- 201000004624 Dermatitis Diseases 0.000 description 1
- 206010063003 Endocrine toxicity Diseases 0.000 description 1
- 108090000371 Esterases Proteins 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 239000000654 additive Substances 0.000 description 1
- 239000013566 allergen Substances 0.000 description 1
- 208000026935 allergic disease Diseases 0.000 description 1
- 230000000844 anti-bacterial effect Effects 0.000 description 1
- 230000002421 anti-septic effect Effects 0.000 description 1
- 239000004599 antimicrobial Substances 0.000 description 1
- 239000003125 aqueous solvent Substances 0.000 description 1
- 239000007900 aqueous suspension Substances 0.000 description 1
- 239000004202 carbamide Substances 0.000 description 1
- 229940073669 ceteareth 20 Drugs 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 238000011109 contamination Methods 0.000 description 1
- 229960001334 corticosteroids Drugs 0.000 description 1
- 229960003957 dexamethasone Drugs 0.000 description 1
- UREBDLICKHMUKA-CXSFZGCWSA-N dexamethasone Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@]2(F)[C@@H]1[C@@H]1C[C@@H](C)[C@@](C(=O)CO)(O)[C@@]1(C)C[C@@H]2O UREBDLICKHMUKA-CXSFZGCWSA-N 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 239000003792 electrolyte Substances 0.000 description 1
- 231100000146 endocrine toxicity Toxicity 0.000 description 1
- 150000002191 fatty alcohols Chemical class 0.000 description 1
- 239000003862 glucocorticoid Substances 0.000 description 1
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- 230000007794 irritation Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 230000002503 metabolic effect Effects 0.000 description 1
- 239000004292 methyl p-hydroxybenzoate Substances 0.000 description 1
- 235000010270 methyl p-hydroxybenzoate Nutrition 0.000 description 1
- 229960002216 methylparaben Drugs 0.000 description 1
- 244000005700 microbiome Species 0.000 description 1
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- 230000003647 oxidation Effects 0.000 description 1
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- 230000001954 sterilising effect Effects 0.000 description 1
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Classifications
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- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
- A61K47/32—Macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. carbomers, poly(meth)acrylates, or polyvinyl pyrrolidone
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- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0046—Ear
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- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/496—Non-condensed piperazines containing further heterocyclic rings, e.g. rifampin, thiothixene or sparfloxacin
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- A61K31/56—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
- A61K31/57—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone
- A61K31/573—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone substituted in position 21, e.g. cortisone, dexamethasone, prednisone or aldosterone
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- A61K31/58—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids containing heterocyclic rings, e.g. danazol, stanozolol, pancuronium or digitogenin
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- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
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- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
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- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
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- A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
- A61K47/36—Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
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Definitions
- the present invention relates to compositions of Fluocinolone Acetonide as anti-inflammatory active pharmaceutical ingredient, for use in the treatment of otic inflammation, optionally accompanied by bacterial infection.
- Fluocinolone Acetonide is an anti-inflammatory corticosteroid successfully used for topical treatment of otic inflammation. It is known in combination with an antibacterial and an antiseptic for treatment of external or middle ear infections (cf. e.g. US 20090111780 A1 ).
- Fluocinolone Acetonide (a 6,9-difluoro-16,17-acetonide corticosteroid) is classified as high to medium potency anti-inflammatory agent depending on the concentration and the vehicle used.
- the 9-F group increases glucocorticoid activity and prevents metabolic oxidation of the 11-OH group (cf. e.g. T.L. Lemke and D.A. Williams, "Foye's Principles of Medicinal Chemistry", Wolters Kluwer 2007, 6th ed., p. 902 ).
- Fluocinolone Acetonide is virtually insoluble in water. It is actually more insoluble than other corticosteroids (e.g. Dexamethasone or Hydrocortisone) that are also used for similar purposes.
- the acetonide (ketal) moiety at the 16,17-position of fluocinolone provides potency as topical anti-inflammatory agent as it enhances lipophilicity (ibid, p. 895), but consequently reduces solubility.
- otic drops containing Fluocinolone Acetonide are organic solutions (e.g. otic oil drops commercialized by Hill Dermaceuticals) or aqueous-organic suspensions (e.g. the aqueous suspension preparations described in EP 1312356 A1 ).
- Otic drops containing Fluocinolone Acetonide and Ciprofloxacin are on the market in the form of aqueous-organic composition containing preservatives and less than 75% of water (e.g. otic drops commercialized by Salvat in Spain for treatment of external otitis).
- disorders that entail otic inflammation are eczematoid external otitis, keloids, granular myringitis, bullous myringitis or sudden deafness.
- Examples of disorders that entail otic inflammation accompanied by bacterial infection are diffuse external otitis (swimmers's ear), localized external otitis (forunculosis), traumatic tympanic membrane perforations, herpes zoster oticus (Ramsay Hunt syndrome), otitis media with effusión (OME, also called serous or secretory otitis media (SOM) or glue ear), otorrhea through tympanostomy tubes, acute otitis media with tympanostomy tubes (AOMT), acute otitis media (AOM) or chronic suppurative otitis media (CSOM).
- diffuse external otitis swimmers's ear
- localized external otitis forunculosis
- traumatic tympanic membrane perforations herpes zoster oticus
- OME otitis media with effusión
- SOM serous
- US 2010/036000 A1 discloses the treatment of several otic diseases with antimicrobials and possibly additional therapeutic agents in sterile preparations to be administered locally
- GB 1 411 432 A discloses preparations comprising urea and surfactants (where the surfactants also act as viscosifiers), as a vehicle for e.g. fluocinolone acetonide (FA) in dermatologic compositions.
- FA fluocinolone acetonide
- the present invention provides a pharmaceutical otic sterile preservative-free composition in the form of a clear aqueous solution of Fluocinolone Acetonide that comprises more than 90% water (all percentages are w/v), and which is suitable for administration as drops from a single-dose container (obviously, although not specially preferred, administration from a multi-dose container would also be possible).
- Dropping an otic liquid pharmaceutical composition from single-dose containers has many advantages. For example, it permits the administration of a precise dose of the composition. Another advantage is that, since a new container is open each time, the administered composition is always sterile, thus avoiding the possibility of contamination by microorganisms or by body secretions. Besides the advantage of greater hygiene, the single-dose container is also more pleasant to use and manipulate than multi-dose containers.
- an otic composition must fulfill several requirements, which appeared to be difficult in the case of a highly insoluble active pharmaceutical ingredient, such as Fluocinolone Acetonide. If, as customary, sterilization is to be done by filtration through a 0.22 ⁇ m filter, the composition must be a clear solution, i.e. substantially free from particles in suspension. Besides, it is highly desirable that the solution is free from preservatives, such as methylparaben and propylparaben.
- Inventors have found that it is appropriate to use a total amount of 0.5-4.0% of one or more nonionic surfactants with a hydrophilic-lipophilic balance (HLB) value between 14 and 18 to obtain a pharmaceutical otic sterile preservative-free composition in the form of a clear aqueous solution (i.e. substantially free from particles in suspension) of 0.01-0.10% of Fluocinolone Acetonide.
- a total amount of 0.5-4.0% of one or more tonicity adjusting agents is appropriate for adjusting tonicity
- a total amount of 0.05-1.00% of one or more viscosity increasing agents is appropriate for adjusting viscosity.
- the composition can optionally comprise an amount of one or more pH adjusting agents to adjust pH between 4.0 and 5.0.
- These excipients in the mentioned amounts, also provide a pharmaceutical otic sterile preservative-free composition in the form of a clear aqueous solution in the case that Fluocinolone Acetonide is accompanied by 0.1-0.8% of Ciprofloxacin or a pharmaceutically acceptable salt thereof, this composition being useful when otic inflammation is accompanied by bacterial infection.
- the pharmaceutical composition of the present invention shows a number of advantages. It is a clear aqueous solution substantially free from solid particles in suspension that can be sterilized by filtration without loss of active ingredient, which entails good dose reproducibility. It shows also good stability. This allows having a sterile preservative-free composition that can be contained in disposable single-dose containers for topical use in drop form. Also, lack of preservatives and of non-aqueous solvents avoids the possible adverse effects that might cause these compounds.
- nonionic surfactants with a HLB value between 14 and 18 include, but are not limited to sorbitan polyoxyethylene fatty acid derivatives; polyoxyethylene hydrogenated castor oil derivatives; polyoxyethylene fatty acid derivatives, polyoxyethylene-polyoxypropylene co-polymers and block-co-polymers..
- the pharmaceutically acceptable examples of nonionic surfactants with a HLB value between 14 and 18 are selected from the group consisting of sorbitan polyoxyethylene fatty acid derivatives such as Polysorbate 20 (polyoxyethylene (20) sorbitan monolaurate), Polysorbate 40 (polyoxyethylene (20) sorbitan monopalmitate), Polysorbate 60 (polyoxyethylene (20) sorbitan monostearate) and Polysorbate 80 (polyoxyethylene (20) sorbitan monooleate); polyoxyethylene hydrogenated castor oil derivatives such as polyoxyethylene (60) hydrogenated castor oil, polyoxyethylene glycol (60) hydrogenated castor oil and polyoxyethylene glycol (40) hydrogenated castor oil; polyoxyethylene fatty acid derivatives such as polyoxyethylene (20) stearate, polyoxyethylene (32) distearate, polyoxyethylene (20) oleate, polyoxyethylene (32) oleate and polyoxyethylene (32) dioleate; fatty alcohol ethoxylates such as
- the pharmaceutically acceptable tonicity adjuster agents are selected from the group consisting of dextrose, glycerin, sorbitol, mannitol, xylitol, polyethylene glycol, propylene glycol, dextran or electrolytes such as potassium chloride, sodium chloride, calcium chloride, sodium phosphate, potassium phosphate, sodium bicarbonate, calcium carbonate and sodium lactate.
- the tonicity adjuster agent is glycerin.
- the pharmaceutically acceptable viscosity increasing agents are selected from the group consisting of polyvinylpirrolidone, such as Povidone K 25, Povidone K 30 and Povidone K 90F; polyvinyl alcohol, xanthan gum, guar gum, welan gum, tragacanth gum, ceratonia gum, agar, methylcellulose, ethylcellulose, hydroxyethyl cellulose, hydroxyethylmethyl cellulose, hydroxypropyl cellulose, sodium carboxymethylcellulose, calcium carboxymethylcellulose, polyethylene glycol, glycerin, carrageenan , sodium alginate, potassium alginate, propylene glycol alginate, sodium hyaluronate, carbomers and maltodextrin.
- polyvinylpirrolidone such as Povidone K 25, Povidone K 30 and Povidone K 90F
- the viscosity increasing agent is a polyvinylpirrolidone selected from Povidone K 25, Povidone K 30 and Povidone K 90F. In a particularly preferred embodiment the viscosity increasing agent is Povidone K 90F.
- pH adjusting agents can be added, as solids or as aqueous solutions.
- Pharmaceutically acceptable examples of pH adjusting agents include, but are not limited to, citric acid and salts thereof; tartaric acid and salts thereof, phosphoric acid and salts thereof, carbonic acid and salts thereof, lactic acid and salts thereof, acetic acid and salts thereof, sulphuric acid and salts thereof, boric acid and salts thereof, maleic acid and salts thereof, succinic acid and salts thereof; hydrochloric acid, nitric acid, sodium hydroxide, potassium hydroxide, triethanolamine, diisopropanolamine or mixtures thereof.
- the pharmaceutically acceptable pH adjusting agents are selected from the group consisting of citric acid and salts thereof, such as sodium citrate, potassium citrate, calcium citrate and lithium citrate; tartaric acid and salts thereof, such as sodium tartrate, potassium tartrate, calcium tartrate and lithium tartrate; phosphoric acid and salts thereof, such as sodium dihydrogenphosphate and sodium monohydrogenphosphate, lithium phosphate, potassium phosphate and calcium phosphate; carbonic acid and salts thereof, such as sodium carbonate and sodium hydrogencarbonate; lactic acid and salts thereof, such as sodium lactate, potassium lactate and calcium lactate; acetic acid and salts thereof, such as sodium acetate, potassium acetate and calcium acetate; sulphuric acid and salts thereof, such as sodium sulphate and potassium sulphate; boric acid and salts thereof, such as sodium borate; maleic acid and salts thereof, such as lithium maleate, sodium maleate, potassium maleate and calcium maleate; succinic acid and salts
- the pharmaceutical composition comprises the following ingredients: 0.02-0.03% of Fluocinolone Acetonide, optionally accompanied by 0.2-0.4% of Ciprofloxacin or a pharmaceutically acceptable salt thereof; 2-3% of Polysorbate 80; 2-3% of glycerin; 0.1-0.3% of Povidone K 90F; optionally, an amount of one or more pharmaceutically acceptable pH adjusting agent q.s. to adjust pH 4.0-5.0; and water
- the composition consist exclusively of the above mentioned ingredients.
- the pharmaceutical composition has the following composition: 0.025% of Fluocinolone Acetonide; 2.5% of Polysorbate 80; 2.4% of glycerin; 0.2% of Povidone K 90F; sodium lactate q.s. to adjust pH 4.0-5.0 and water q.s. 100%.
- the pharmaceutical composition has the following composition: 0.025% of Fluocinolone Acetonide, 0.349% of ciprofloxacin HCl; 2.5% of Polysorbate 80; 2.4% of glycerin; 0.2% of Povidone K 90F; and water q.s. 100%.
- the pharmaceutical composition is sterilized and contained in disposable single-dose containers for topical use in drop form.
- Another aspect of the invention relates to a method for the prevention and/or treatment of an individual suffering from otic inflammation, optionally accompanied by bacterial infection, comprising the topical administration to the individual of a therapeutically effective amount of the pharmaceutical composition as described above.
- the otic inflammation is eczematoid external otitis, keloids, granular myringitis, bullous myringitis or sudden deafness.
- the otic inflammation accompanied by bacterial infection is diffuse external otitis (swimmers's ear), localized external otitis (forunculosis), traumatic tympanic membrane perforations, herpes zoster oticus (Ramsay Hunt syndrome), otitis media with effusión (OME, also called glue ear), otorrhea through tympanostomy tubes, acute otitis media with tympanostomy tubes (AOMT), acute otitis media (AOM) or chronic suppurative otitis media (CSOM).
- Another aspect of the invention refers to a pharmaceutical composition as described above for its use as a medicament.
- its use is for the prevention and/or treatment of otic inflammation, optionally accompanied by bacterial infection.
- Another aspect of the invention is the use of the pharmaceutical composition as described above for the preparation of a medicament for the prevention and/or treatment of otic inflammation, optionally accompanied by bacterial infection.
- Another aspect of the invention is a method for the prevention and/or treatment of an individual suffering from otic inflammation, optionally accompanied by bacterial infection, comprising the topical administration to the individual of a therapeutically effective amount of a pharmaceutical composition described above.
- the otic inflammation is eczematoid external otitis, keloids, granular myringitis, bullous myringitis or sudden deafness.
- the otic inflammation accompanied by bacterial infection is diffuse external otitis, localized external otitis, traumatic tympanic membrane perforations, herpes zoster oticus, otitis media with effusión, otorrhea through tympanostomy tubes, acute otitis media with tympanostomy tubes, acute otitis media or chronic suppurative otitis media.
- Example 1 Aqueous solution comprising Fluocinolone
- Example 2 Aqueous solution comprising Fluocinolone + Ciprofloxacin
- Example 3 Aqueous solution comprising Fluocinolone
- Example 4 Aqueous solution comprising Fluocinolone + Ciprofloxacin
- Example 5 Aqueous solution comprising Fluocinolone
- Concentrations of active ingredient in two batches of a pharmaceutical composition comprising Fluocinolone Acetonide and Ciprofloxacin were measured before and after filtration to confirm the absence of active particles in suspension that could be retained in the 0.22 ⁇ m filter leading to a loss of active ingredient.
- Dynamic light scattering determinations of a pharmaceutical composition comprising Fluocinolone Acetonide and ciprofloxacin were carried out before and after filtration to confirm the absence of active particles in suspension that could be retained in the 0.22 ⁇ m filter leading to a loss of active ingredient.
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Priority Applications (16)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP10155005A EP2366408B1 (en) | 2010-03-01 | 2010-03-01 | Aqueous clear solutions of fluocinolone acetonide for treatment of otic inflammation |
DK10155005.1T DK2366408T3 (da) | 2010-03-01 | 2010-03-01 | Vandige, klare opløsninger af fluocinolonacetonid til behandling af inflammation i øret |
ES10155005T ES2391721T3 (es) | 2010-03-01 | 2010-03-01 | Disoluciones acuosas transparentes de acetónido de fluocinolona para el tratamiento de la infamación de oído |
PL10155005T PL2366408T3 (pl) | 2010-03-01 | 2010-03-01 | Klarowne roztwory wodne acetonidu fluocinolonu do leczenia zapalenia uszu |
US12/730,681 US8932610B2 (en) | 2010-03-01 | 2010-03-24 | Aqueous clear solutions of fluocinolone acetonide for treatment of otic inflammation |
CA2790652A CA2790652C (en) | 2010-03-01 | 2011-02-28 | Aqueous clear solutions of fluocinolone acetonide for treatment of otic inflammation |
RU2012141641/15A RU2549465C2 (ru) | 2010-03-01 | 2011-02-28 | Водные прозрачные растворы флуоцинолона ацетонида для лечения ушного воспаления |
KR1020127025195A KR101777157B1 (ko) | 2010-03-01 | 2011-02-28 | 귀 염증 치료용 플루오시놀론 아세토나이드의 맑은 수용액 |
AU2011223095A AU2011223095B2 (en) | 2010-03-01 | 2011-02-28 | Aqueous clear solutions of Fluocinolone Acetonide for treatment of otic inflammation |
JP2012555383A JP5744922B2 (ja) | 2010-03-01 | 2011-02-28 | 耳の炎症の治療を目的とするフルオシノロンアセトニドの透明な水性溶液 |
PCT/EP2011/052939 WO2011107436A2 (en) | 2010-03-01 | 2011-02-28 | Aqueous clear solutions of fluocinolone acetonide for treatment of otic inflammation |
MX2012010009A MX2012010009A (es) | 2010-03-01 | 2011-02-28 | Disoluciones acuosas transparentes de acetonido de fluocinolona para el tratamiento de la inflamacion de oido. |
BR112012021638-4A BR112012021638B1 (pt) | 2010-03-01 | 2011-02-28 | composição livre de conservante estéril ótica farmacêutica na forma de uma solução aquosa clara |
CN201180009966.6A CN102811741B (zh) | 2010-03-01 | 2011-02-28 | 用于治疗耳部炎症的氟轻松澄清水溶液 |
ARP110100633A AR080368A1 (es) | 2010-03-01 | 2011-03-01 | Disoluciones acuosas transparentes de acetonido de fluocinolona para el tratamiento de la inflamacion de oido |
HK12102610.2A HK1162145A1 (en) | 2010-03-01 | 2012-03-14 | Aqueous clear solutions of fluocinolone acetonide for treatment of otic inflammation |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP10155005A EP2366408B1 (en) | 2010-03-01 | 2010-03-01 | Aqueous clear solutions of fluocinolone acetonide for treatment of otic inflammation |
Publications (2)
Publication Number | Publication Date |
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EP2366408A1 EP2366408A1 (en) | 2011-09-21 |
EP2366408B1 true EP2366408B1 (en) | 2012-07-18 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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EP10155005A Active EP2366408B1 (en) | 2010-03-01 | 2010-03-01 | Aqueous clear solutions of fluocinolone acetonide for treatment of otic inflammation |
Country Status (16)
Country | Link |
---|---|
US (1) | US8932610B2 (ru) |
EP (1) | EP2366408B1 (ru) |
JP (1) | JP5744922B2 (ru) |
KR (1) | KR101777157B1 (ru) |
CN (1) | CN102811741B (ru) |
AR (1) | AR080368A1 (ru) |
AU (1) | AU2011223095B2 (ru) |
BR (1) | BR112012021638B1 (ru) |
CA (1) | CA2790652C (ru) |
DK (1) | DK2366408T3 (ru) |
ES (1) | ES2391721T3 (ru) |
HK (1) | HK1162145A1 (ru) |
MX (1) | MX2012010009A (ru) |
PL (1) | PL2366408T3 (ru) |
RU (1) | RU2549465C2 (ru) |
WO (1) | WO2011107436A2 (ru) |
Families Citing this family (14)
Publication number | Priority date | Publication date | Assignee | Title |
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RU2604413C1 (ru) * | 2015-06-17 | 2016-12-10 | Марина Николаевна Вольгова | Способ лечения хронического аллергического наружного отита |
WO2016208742A1 (ja) * | 2015-06-25 | 2016-12-29 | 参天製薬株式会社 | 注射剤 |
JP6255134B1 (ja) * | 2016-11-02 | 2017-12-27 | ヴェローチェ・バイオファーマ・エルエルシー | 耳炎の治療のための組成物および方法 |
KR102094228B1 (ko) | 2017-12-18 | 2020-03-27 | 경희대학교 산학협력단 | 운카리아 린초필라 추출물을 유효성분으로 포함하는 난청의 예방 또는 치료용 조성물 |
KR102075694B1 (ko) | 2017-12-18 | 2020-02-10 | 경희대학교 산학협력단 | 시지지움 큐미니 추출물을 유효성분으로 포함하는 난청의 예방 또는 치료용 조성물 |
KR102007096B1 (ko) | 2017-12-18 | 2019-08-02 | 경희대학교 산학협력단 | 비스쿰 오발리포리움 추출물을 유효성분으로 포함하는 난청의 예방 또는 치료용 조성물 |
KR102030123B1 (ko) | 2018-05-31 | 2019-10-08 | 경희대학교 산학협력단 | 난청의 예방 또는 치료용 조성물 |
KR102131044B1 (ko) | 2018-05-31 | 2020-07-08 | 경희대학교 산학협력단 | 난청의 예방 또는 치료용 조성물 |
KR102035845B1 (ko) | 2018-05-31 | 2019-10-23 | 경희대학교 산학협력단 | 난청의 예방 또는 치료용 조성물 |
CN109260152A (zh) * | 2018-11-13 | 2019-01-25 | 禹州市中医院 | 一种盐酸洛美沙星滴耳液 |
CN112022805A (zh) * | 2020-10-20 | 2020-12-04 | 内蒙古盛唐国际蒙医药研究院有限公司 | 一种高稳定性复方醋酸氟轻松酊及其制备方法 |
KR20220091176A (ko) | 2020-12-23 | 2022-06-30 | (주)인비보텍 | 난청의 예방 또는 치료용 조성물 |
KR20220091177A (ko) | 2020-12-23 | 2022-06-30 | (주)인비보텍 | 난청의 예방 또는 치료용 조성물 |
US11672798B2 (en) | 2021-06-03 | 2023-06-13 | Laboratorios Salvat, S.A. | Ciprofloxacin ophthalmic topical composition for treating ocular disease |
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-
2010
- 2010-03-01 PL PL10155005T patent/PL2366408T3/pl unknown
- 2010-03-01 EP EP10155005A patent/EP2366408B1/en active Active
- 2010-03-01 DK DK10155005.1T patent/DK2366408T3/da active
- 2010-03-01 ES ES10155005T patent/ES2391721T3/es active Active
- 2010-03-24 US US12/730,681 patent/US8932610B2/en active Active
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2011
- 2011-02-28 MX MX2012010009A patent/MX2012010009A/es active IP Right Grant
- 2011-02-28 CA CA2790652A patent/CA2790652C/en active Active
- 2011-02-28 KR KR1020127025195A patent/KR101777157B1/ko active IP Right Grant
- 2011-02-28 BR BR112012021638-4A patent/BR112012021638B1/pt active IP Right Grant
- 2011-02-28 WO PCT/EP2011/052939 patent/WO2011107436A2/en active Application Filing
- 2011-02-28 RU RU2012141641/15A patent/RU2549465C2/ru active
- 2011-02-28 AU AU2011223095A patent/AU2011223095B2/en active Active
- 2011-02-28 CN CN201180009966.6A patent/CN102811741B/zh active Active
- 2011-02-28 JP JP2012555383A patent/JP5744922B2/ja active Active
- 2011-03-01 AR ARP110100633A patent/AR080368A1/es unknown
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- 2012-03-14 HK HK12102610.2A patent/HK1162145A1/xx unknown
Also Published As
Publication number | Publication date |
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JP5744922B2 (ja) | 2015-07-08 |
PL2366408T3 (pl) | 2013-01-31 |
CA2790652A1 (en) | 2011-09-09 |
AR080368A1 (es) | 2012-04-04 |
BR112012021638A2 (pt) | 2017-08-08 |
CA2790652C (en) | 2016-11-08 |
RU2012141641A (ru) | 2014-04-10 |
DK2366408T3 (da) | 2012-10-22 |
EP2366408A1 (en) | 2011-09-21 |
BR112012021638B1 (pt) | 2020-10-27 |
WO2011107436A3 (en) | 2011-11-10 |
KR20130026430A (ko) | 2013-03-13 |
KR101777157B1 (ko) | 2017-09-26 |
AU2011223095B2 (en) | 2015-09-17 |
CN102811741A (zh) | 2012-12-05 |
RU2549465C2 (ru) | 2015-04-27 |
AU2011223095A1 (en) | 2012-08-16 |
US8932610B2 (en) | 2015-01-13 |
JP2013521245A (ja) | 2013-06-10 |
HK1162145A1 (en) | 2012-08-24 |
US20110212932A1 (en) | 2011-09-01 |
WO2011107436A2 (en) | 2011-09-09 |
ES2391721T3 (es) | 2012-11-29 |
CN102811741B (zh) | 2015-05-13 |
MX2012010009A (es) | 2012-09-28 |
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